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RU2011152801A - METHODS AND DEVICES FOR KNEE JOINT ARTHROPLASTY - Google Patents

METHODS AND DEVICES FOR KNEE JOINT ARTHROPLASTY Download PDF

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Publication number
RU2011152801A
RU2011152801A RU2011152801/14A RU2011152801A RU2011152801A RU 2011152801 A RU2011152801 A RU 2011152801A RU 2011152801/14 A RU2011152801/14 A RU 2011152801/14A RU 2011152801 A RU2011152801 A RU 2011152801A RU 2011152801 A RU2011152801 A RU 2011152801A
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Russia
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resection
guide
lateral section
flag pin
cutting unit
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RU2011152801/14A
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Russian (ru)
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RU2583369C2 (en
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Закари Кристофер УИЛКИНСОН
Кристофер Ф. САЙФЕРТ
Марк Эллсуорт НАДЗАДИ
Кэтрин С. АНДЕРСОН
Джерард А. ЭНГ
Original Assignee
Смит Энд Нефью, Инк.
Закари Кристофер УИЛКИНСОН
Кристофер Ф. САЙФЕРТ
Марк Эллсуорт НАДЗАДИ
Кэтрин С. АНДЕРСОН
Джерард А. ЭНГ
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    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/14—Surgical saws ; Accessories therefor
    • A61B17/15—Guides therefor
    • A61B17/154—Guides therefor for preparing bone for knee prosthesis
    • A61B17/155—Cutting femur
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/14—Surgical saws ; Accessories therefor
    • A61B17/15—Guides therefor
    • A61B17/154—Guides therefor for preparing bone for knee prosthesis
    • A61B17/157—Cutting tibia
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/16—Bone cutting, breaking or removal means other than saws, e.g. Osteoclasts; Drills or chisels for bones; Trepans
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/16—Bone cutting, breaking or removal means other than saws, e.g. Osteoclasts; Drills or chisels for bones; Trepans
    • A61B17/17—Guides or aligning means for drills, mills, pins or wires
    • A61B17/1739—Guides or aligning means for drills, mills, pins or wires specially adapted for particular parts of the body
    • A61B17/1764—Guides or aligning means for drills, mills, pins or wires specially adapted for particular parts of the body for the knee
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61F—FILTERS IMPLANTABLE INTO BLOOD VESSELS; PROSTHESES; DEVICES PROVIDING PATENCY TO, OR PREVENTING COLLAPSING OF, TUBULAR STRUCTURES OF THE BODY, e.g. STENTS; ORTHOPAEDIC, NURSING OR CONTRACEPTIVE DEVICES; FOMENTATION; TREATMENT OR PROTECTION OF EYES OR EARS; BANDAGES, DRESSINGS OR ABSORBENT PADS; FIRST-AID KITS
    • A61F2/00—Filters implantable into blood vessels; Prostheses, i.e. artificial substitutes or replacements for parts of the body; Appliances for connecting them with the body; Devices providing patency to, or preventing collapsing of, tubular structures of the body, e.g. stents
    • A61F2/02—Prostheses implantable into the body
    • A61F2/30—Joints
    • A61F2/38—Joints for elbows or knees
    • A61F2/3859—Femoral components
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61F—FILTERS IMPLANTABLE INTO BLOOD VESSELS; PROSTHESES; DEVICES PROVIDING PATENCY TO, OR PREVENTING COLLAPSING OF, TUBULAR STRUCTURES OF THE BODY, e.g. STENTS; ORTHOPAEDIC, NURSING OR CONTRACEPTIVE DEVICES; FOMENTATION; TREATMENT OR PROTECTION OF EYES OR EARS; BANDAGES, DRESSINGS OR ABSORBENT PADS; FIRST-AID KITS
    • A61F2/00—Filters implantable into blood vessels; Prostheses, i.e. artificial substitutes or replacements for parts of the body; Appliances for connecting them with the body; Devices providing patency to, or preventing collapsing of, tubular structures of the body, e.g. stents
    • A61F2/02—Prostheses implantable into the body
    • A61F2/30—Joints
    • A61F2/46—Special tools or methods for implanting or extracting artificial joints, accessories, bone grafts or substitutes, or particular adaptations therefor
    • A61F2/4684—Trial or dummy prostheses
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61F—FILTERS IMPLANTABLE INTO BLOOD VESSELS; PROSTHESES; DEVICES PROVIDING PATENCY TO, OR PREVENTING COLLAPSING OF, TUBULAR STRUCTURES OF THE BODY, e.g. STENTS; ORTHOPAEDIC, NURSING OR CONTRACEPTIVE DEVICES; FOMENTATION; TREATMENT OR PROTECTION OF EYES OR EARS; BANDAGES, DRESSINGS OR ABSORBENT PADS; FIRST-AID KITS
    • A61F2/00—Filters implantable into blood vessels; Prostheses, i.e. artificial substitutes or replacements for parts of the body; Appliances for connecting them with the body; Devices providing patency to, or preventing collapsing of, tubular structures of the body, e.g. stents
    • A61F2/02—Prostheses implantable into the body
    • A61F2/30—Joints
    • A61F2/38—Joints for elbows or knees
    • A61F2/389—Tibial components

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  • Health & Medical Sciences (AREA)
  • Life Sciences & Earth Sciences (AREA)
  • Surgery (AREA)
  • Orthopedic Medicine & Surgery (AREA)
  • Veterinary Medicine (AREA)
  • General Health & Medical Sciences (AREA)
  • Oral & Maxillofacial Surgery (AREA)
  • Engineering & Computer Science (AREA)
  • Biomedical Technology (AREA)
  • Heart & Thoracic Surgery (AREA)
  • Public Health (AREA)
  • Animal Behavior & Ethology (AREA)
  • Transplantation (AREA)
  • Molecular Biology (AREA)
  • Nuclear Medicine, Radiotherapy & Molecular Imaging (AREA)
  • Medical Informatics (AREA)
  • Dentistry (AREA)
  • Physical Education & Sports Medicine (AREA)
  • Cardiology (AREA)
  • Vascular Medicine (AREA)
  • Prostheses (AREA)
  • Surgical Instruments (AREA)

Abstract

1. Направитель резекции латерального участка для проведения хирургической операции на коленном суставе, содержащий:(a) корпус направителя резекции латерального участка;(b) лопатку, соединенную с корпусом направителя резекции латерального участка, при этом лопатка включает по существу плоскую поверхность, выполненную с возможностью размещения на по существу плоской резекции, выполненной на медиальном участке большеберцовой кости; и(c) направляющий элемент резекции латерального участка, соединенный с корпусом направителя резекции латерального участка, причем направляющий элемент резекции латерального участка имеет по существу плоскую направляющую поверхность резекции латерального участка, при этом направляющая поверхность резекции латерального участка выполнена с возможностью направления режущего или дробильного инструмента для выполнения резекции на латеральном участке большеберцовой кости, привязанной к резекции медиального участка.2. Направитель резекции по п.1, в котором направляющая поверхность резекции латерального участка выполнена с возможностью направления режущего или дробильного инструмента таким образом, чтобы резекция латерального участка большеберцовой кости лежала в одной плоскости с резекцией медиального участка большеберцовой кости.3. Направитель резекции по п.2, в котором корпус направителя резекции латерального участка имеет отверстие для флажкового штифта, причем отверстие для флажкового штифта выполнено с возможностью приема флажкового штифта, введенного в навигационное отверстие резекции латерального участка, выполненное в большеберцовой кости, при этом навигационн1. A lateral section resection guide for performing surgery on a knee joint, comprising: (a) a lateral section resection guide case; (b) a blade connected to a lateral section resection guide case, the blade comprising a substantially flat surface configured to placing on a substantially flat resection performed on the medial portion of the tibia; and (c) a lateral section resection guide member connected to the body of the lateral section resection guide body, wherein the lateral section resection guide member has a substantially flat guide surface of the lateral section resection, wherein the lateral section resection guide surface is configured to guide a cutting or crushing tool for performing resection on the lateral tibial site, tied to the resection of the medial area. 2. The resection guide according to claim 1, in which the guide surface of the resection of the lateral section is configured to guide the cutting or crushing tool so that the resection of the lateral section of the tibia lies in the same plane as the resection of the medial section of the tibia. The resection guide according to claim 2, wherein the housing of the lateral section resection guide has an opening for the flag pin, wherein the hole for the flag pin is adapted to receive the flag pin inserted into the navigation hole of the lateral section resection made in the tibia, while the navigation

Claims (15)

1. Направитель резекции латерального участка для проведения хирургической операции на коленном суставе, содержащий:1. The guide resection of the lateral section for surgery on the knee joint, containing: (a) корпус направителя резекции латерального участка;(a) the body of the lateral section resection guide; (b) лопатку, соединенную с корпусом направителя резекции латерального участка, при этом лопатка включает по существу плоскую поверхность, выполненную с возможностью размещения на по существу плоской резекции, выполненной на медиальном участке большеберцовой кости; и(b) a scapula connected to the casing of the lateral section resection guide, wherein the scapula includes a substantially flat surface adapted to be placed on a substantially flat resection made on the medial portion of the tibia; and (c) направляющий элемент резекции латерального участка, соединенный с корпусом направителя резекции латерального участка, причем направляющий элемент резекции латерального участка имеет по существу плоскую направляющую поверхность резекции латерального участка, при этом направляющая поверхность резекции латерального участка выполнена с возможностью направления режущего или дробильного инструмента для выполнения резекции на латеральном участке большеберцовой кости, привязанной к резекции медиального участка.(c) a lateral section resection guide member connected to the body of the lateral section resection guide body, wherein the lateral section resection guide member has a substantially flat lateral section resection guide surface, wherein the lateral section resection guide surface is configured to guide a cutting or crushing tool to perform resection on the lateral tibial site, tied to the resection of the medial site. 2. Направитель резекции по п.1, в котором направляющая поверхность резекции латерального участка выполнена с возможностью направления режущего или дробильного инструмента таким образом, чтобы резекция латерального участка большеберцовой кости лежала в одной плоскости с резекцией медиального участка большеберцовой кости.2. The resection guide according to claim 1, in which the guiding surface of the resection of the lateral portion is configured to guide the cutting or crushing tool so that the resection of the lateral portion of the tibia lies in the same plane as the resection of the medial portion of the tibia. 3. Направитель резекции по п.2, в котором корпус направителя резекции латерального участка имеет отверстие для флажкового штифта, причем отверстие для флажкового штифта выполнено с возможностью приема флажкового штифта, введенного в навигационное отверстие резекции латерального участка, выполненное в большеберцовой кости, при этом навигационное отверстие резекции латерального участка ориентировано относительно большеберцовой кости с заданным углом наклона кпереди/кзади, с требуемым поворотом внутрь/наружу и с требуемым медиальным/латеральным положением; при этом отверстие для флажкового штифта лежит в плоскости, по существу параллельной по существу плоской поверхности лопатки.3. The resection guide according to claim 2, in which the housing of the lateral section resection guide has a hole for the flag pin, and the hole for the flag pin is configured to receive the flag pin inserted into the navigation hole of the lateral section resection made in the tibia, while the navigation the hole of the resection of the lateral section is oriented relative to the tibia with a given angle of inclination anterior / posterior, with the required turn in / out and with the required medial / l teralnym position; wherein the hole for the flag pin lies in a plane substantially parallel to the substantially flat surface of the blade. 4. Направитель резекции по п.1, в котором отверстие для флажкового штифта имеет плоский участок, ориентированный в плоскости, по существу параллельной по существу плоской поверхности лопатки, причем указанный плоский участок выполнен с возможностью взаимодействия с флажковым штифтом и способствует ориентированию направителя резекции латерального участка относительно флажкового штифта.4. The resection guide according to claim 1, in which the hole for the flag pin has a flat section oriented in a plane substantially parallel to the essentially flat surface of the scapula, said flat section configured to interact with the flag pin and helps to orient the resection guide of the lateral section relative to the flag pin. 5. Направитель резекции по п.1, в котором отверстие для флажкового штифта образует границу для направляющей поверхности резекции латерального участка и выполнено с возможностью предотвращения разрезания или дробления возвышения большеберцовой кости, на котором крепится по меньшей мере одна связка.5. The resection guide according to claim 1, in which the hole for the flag pin forms a boundary for the guide surface of the resection of the lateral section and is configured to prevent cutting or crushing of the elevation of the tibia, on which at least one ligament is attached. 6. Направитель резекции по п.1, в котором по меньшей мере один участок отверстия для флажкового штифта выполнен с возможностью ориентирования под заданным углом относительно продольной оси навигационного отверстия резекции латерального участка, обеспечивая тем самым возможность установки направителя на флажковый штифт под заданным углом относительно продольной оси навигационного отверстия резекции латерального участка для уменьшения контакта с мягкими тканями на латеральной стороне колена во время указанной установки.6. The resection guide according to claim 1, in which at least one section of the hole for the flag pin is made with the possibility of orientation at a given angle relative to the longitudinal axis of the navigation hole of the resection of the lateral section, thereby providing the possibility of installing the guide on the flag pin at a given angle relative to the longitudinal axis of the navigation hole resection of the lateral section to reduce contact with soft tissues on the lateral side of the knee during the specified installation. 7. Направитель резекции плато большеберцовой кости, содержащий:7. A guide to the resection of the tibial plateau, containing: (a) режущий блок, определяющий горизонтальную направляющую для направления резекции плато большеберцовой кости; и(a) a cutting unit defining a horizontal guide for guiding a resection of the tibial plateau; and (b) продолговатый флажковый штифт для позиционирования режущего блока относительно проксимального отдела большеберцовой кости, причем флажковый штифт проходит вдоль продольной оси и имеет расширенный головной участок; при этом режущий блок имеет отверстие для приема по меньшей мере части расширенного головного участка, причем когда расширенный головной участок расположен в указанном отверстии режущего блока, режущий блок не может поворачиваться вокруг продольной оси флажкового штифта.(b) an elongated flag pin for positioning the cutting unit relative to the proximal tibia, the flag pin extending along the longitudinal axis and has an expanded head portion; wherein the cutting unit has an opening for receiving at least a portion of the expanded head portion, wherein when the expanded head portion is located in said opening of the cutting unit, the cutting unit cannot rotate about the longitudinal axis of the flag pin. 8. Направитель резекции по п.7, в котором расширенный головной участок удлиненного флажкового штифта является по существу плоским, и обеспечивает возможность поступательного перемещения и поворота режущего блока относительно удлиненного флажкового штифта по меньшей мере в одной плоскости.8. The resection guide according to claim 7, in which the expanded head portion of the elongated flag pin is substantially flat, and allows the cutting unit to translate and rotate relative to the elongated flag pin in at least one plane. 9. Направитель резекции по п.7, в котором по меньшей мере одна по существу плоская поверхность флажкового штифта является по существу параллельной направляющей поверхности горизонтальной направляющей режущего блока, когда расширенный головной участок расположен в отверстии режущего блока.9. The resection guide according to claim 7, wherein the at least one substantially flat surface of the flag pin is substantially parallel to the guide surface of the horizontal guide of the cutting unit when the expanded head portion is located in an opening of the cutting unit. 10. Направитель резекции по п.9, в котором по меньшей мере участок флажкового штифта определяет вторую направляющую для направления резекции плато большеберцовой кости, когда расширенный головной участок расположен в отверстии режущего блока.10. The resection guide according to claim 9, in which at least the flag pin portion defines a second guide for guiding the resection of the tibia plateau when the expanded head portion is located in the opening of the cutting unit. 11. Направитель резекции по п.10, в котором вторая направляющая флажкового штифта расположена так, что она ограничивает движения режущего инструмента в мезиальном направлении, когда расширенный головной участок расположен в отверстии режущего блока.11. The resection guide according to claim 10, in which the second guide pin flag is located so that it restricts the movement of the cutting tool in the mesial direction, when the expanded head portion is located in the hole of the cutting unit. 12. Направитель резекции по п.10, в котором вторая направляющая флажкового штифта определена расширенным головным участком и удлиненным участком введения флажкового штифта.12. The resection guide of claim 10, wherein the second guide of the flag pin is defined by an expanded head portion and an extended portion of the introduction of the flag pin. 13. Направитель резекции по п.10, в котором участки второй направляющей флажкового штифта позиционированы так, что они предотвращают движение режущего инструмента в передний и мезиальный участки возвышения плато большеберцовой кости, когда расширенной головной участок расположен в отверстии режущего блока.13. The resection guide of claim 10, wherein the portions of the second guide pin of the flag pin are positioned so that they prevent the cutting tool from moving into the front and mesial portions of the elevation of the tibia plateau when the expanded head portion is located in the opening of the cutting unit. 14. Направитель резекции по п.9, в котором режущий блок дополнительно содержит ориентир для привязки ко второй резекции суставной большеберцовой поверхности, причем ориентир включает нижнюю плоскую базовую поверхность.14. The resection guide according to claim 9, in which the cutting unit further comprises a landmark for binding to the second resection of the articular tibial surface, and the landmark includes a lower flat base surface. 15. Направитель резекции по п.8, в котором предусмотрена возможность поворота режущего блока вокруг, по меньшей мере, второй оси и возможность поступательного перемещения режущего блока по меньшей мере в одном направлении, когда расширенный головной участок расположен в отверстии режущего блока. 15. The resection guide according to claim 8, in which it is possible to rotate the cutting unit around at least the second axis and the possibility of translational movement of the cutting unit in at least one direction when the expanded head portion is located in the opening of the cutting unit.
RU2011152801/14A 2009-05-29 2010-05-28 Methods and devices for knee arthroplasty RU2583369C2 (en)

Applications Claiming Priority (5)

Application Number Priority Date Filing Date Title
US18243509P 2009-05-29 2009-05-29
US61/182,435 2009-05-29
US29983510P 2010-01-29 2010-01-29
US61/299,835 2010-01-29
PCT/US2010/036617 WO2010138841A2 (en) 2009-05-29 2010-05-28 Methods and apparatus for performing knee arthroplasty

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RU2011152801A true RU2011152801A (en) 2013-07-10
RU2583369C2 RU2583369C2 (en) 2016-05-10

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RU2011152800/14A RU2570163C2 (en) 2009-05-29 2010-05-28 Methods and devices for knee arthroplasty
RU2011152803/14A RU2573036C2 (en) 2009-05-29 2010-05-28 Method and device for knee arthroplasty
RU2011152802/14A RU2570313C2 (en) 2009-05-29 2010-05-28 Methods and devices for knee-joint arthroplasty
RU2011152801/14A RU2583369C2 (en) 2009-05-29 2010-05-28 Methods and devices for knee arthroplasty
RU2011152799/14A RU2576369C2 (en) 2009-05-29 2010-05-28 Methods and devices for knee arthroplasty

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RU2011152803/14A RU2573036C2 (en) 2009-05-29 2010-05-28 Method and device for knee arthroplasty
RU2011152802/14A RU2570313C2 (en) 2009-05-29 2010-05-28 Methods and devices for knee-joint arthroplasty

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US (10) US9668748B2 (en)
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